Individual provider Active NPI

Michael A Cline, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Springville, NY
National Provider Identifier
1710936562
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400736 Issued in NY
Practice address
584 E Main St
Springville, NY 14141-1437
Phone
(716) 685-2167
Fax
(718) 395-1571
NPI assigned
May 9, 2006
Last updated
May 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400736 NY Primary

Addresses

Primary practice location

584 E Main St
Springville, NY 14141-1437

Mailing address

PO Box 21
Franklinville, NY 14737-0021
Phone (716) 685-6730

Other practice location 1

8003 Rogers Rd
Franklinville, NY 14737
Phone (716) 685-6730

Other identifiers 2

IdentifierTypeStateIssuer
IA1012OtherMEDICARE PTAN
02359328MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000274 NY Practitioner - Nurse Practitioner 8628023421 Practice locations: Orchard Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3533 N Buffalo St
Orchard Park, NY 14127-1933
Phone (716) 685-6730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
400736NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Medicine Services, Inc. Past Accepting new patients
Niagara Frontier Psychiatric Associates Past Accepting new patients
111 Ensminger Road Operating Company, LLC Past Accepting new patients
Elder Medical Services PC Past Accepting new patients
JT Bagen Enterprises Inc Psychiatric/Mental Health Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1710936562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "FRANKLINVILLE",
            "state": "NY",
            "postal_code": "147370021",
            "telephone_number": "716-685-6730",
            "fax_number": "718-395-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411437",
            "telephone_number": "716-685-2167",
            "fax_number": "718-395-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8003 Rogers Rd",
            "address_purpose": "LOCATION",
            "city": "Franklinville",
            "state": "NY",
            "postal_code": "14737",
            "country_code": "US",
            "telephone_number": "716-685-6730",
            "fax_number": "718-395-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IA1012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02359328",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, NY

Sources for this page

Verify at the official NPI Registry.